Provider Demographics
NPI:1740641752
Name:WEISZHAUPT, ANDRASNE
Entity type:Individual
Prefix:MRS
First Name:ANDRASNE
Middle Name:
Last Name:WEISZHAUPT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12001 ASHTON MANOR WAY APT 204
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7009
Mailing Address - Country:US
Mailing Address - Phone:407-671-4687
Mailing Address - Fax:
Practice Address - Street 1:931 S SEMORAN BLVD STE 220
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-5398
Practice Address - Country:US
Practice Address - Phone:407-671-4687
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist